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Compliance

This section focuses on health care compliance and regulations – both national and state – including the ACA. It includes changes in health care law, regulation, and court decisions and their impact on health insurance professionals, employers, and individuals.

40% Of Older Americans Are Pushing Back Retirement Due To Inflation

Inflation is forcing older American workers to delay their retirement, leading to higher benefits costs for employers, stalled career progress for younger workers, and reduced morale and mental health for team members, according to new research from the Nationwide Retirement Institute.

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3 Ways Small Businesses Can Attract And Retain Top Talent Amid Today’s Competitive Labor Market

Historically, large corporations have a recruiting edge over small businesses because of their ability to offer a full range of employee benefit packages and experiences. But, in today’s highly competitive labor market, small businesses are increasingly realizing the importance of competing with the enterprise for employees and adapting to the modern workforce.

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Employers Are Concerned About Covering Workers’ Mental Health Needs, Survey Finds

Almost three years after the covid-19 pandemic upended workplaces, mental health coverage remains a priority for employers, according to an annual employer survey fielded by KFF.

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ACA's Preventative Care Requirement Under Attack

Plaintiffs in an Affordable Care Act lawsuit are now asking a federal judge to toss all parts of the law requiring coverage of preventive health services.

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CMS Issues Medicare Broker Call Recording FAQs

As 2023 annual open enrollment begins, CMS has received questions regarding changes, including the requirement related to recording calls between beneficiaries and Third-Party Marketing Organizations (TPMOs) and the requirements related to the TPMO disclaimer.

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Plan Premiums To Soar Along With Health System Labor Increases

Employer-sponsored health plans will likely see premiums increase by an average of 6.5% in 2023. The main driver? A shortage of health care employees, notably nurses. This is forcing health systems to pay more to current employees and offer more to recruit hard-to-find professionals.

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IRA Means Increased Drug Prices For Commercial Plans: Ways To Prepare

The recently enacted Inflation Reduction Act (IRA) includes several provisions aimed at lowering prescription drug prices for those on Medicare and reducing drug spending by the federal government. But these cost reductions for Medicare may lead to employers and their employees paying the price.

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401(k) Contribution Limits Are Taking a Big Jump for 2023

The I.R.S. announced one of its largest increases in decades to caps on retirement contributions, allowing workers with access to the plans to save more.

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Pfizer Says COVID-19 Vaccine Will Cost $110-$130 Per Dose

Pfizer will charge $110 to $130 for a dose of its COVID-19 vaccine once the U.S. government stops buying the shots, but the drugmaker says it expects many people will continue receiving it for free. Pfizer executives said the commercial pricing for adult doses could start early next year, depending on when the government phases ...

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After Congress Fails to Add Dental Coverage, Medicare Weighs Limited Benefit Expansion

Proposed changes in Medicare rules could soon pave the way for a significant expansion in Medicare-covered dental services, while falling short of the comprehensive benefits that many Democratic lawmakers have advocated. That’s because, under current law, Medicare can pay for limited dental care only if it is medically necessary to safely treat another covered medical ...

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